TIXOCORTOL-21-PIVALATE

Your T.R.U.E. TEST results indicate that you have a contact allergy to tixocortol-21- WHAT SHOULD YOU LOOK FOR AND AVOID? pivalate. This contact allergy may cause your skin to react when it is exposed to this Avoid products with the following names in the list of ingredients: substance, although it may take several days for the symptoms to appear. Typical symptoms include redness, swelling, itching and fluid-filled blisters. • Tixocortol 21-pivalate • Tixocortol pivalate Tixocortol-21-pivalate is a widely used topical anti-inflammatory corticosteroid used in both prescription and nonprescription topical ointments, creams, tablets, or injections. • 11beta,17-dihydroxy-21-mercaptopregn-4-ene-3,20-dione 21-pivalate • Pivalone WHERE IS TIXOCORTOL-21-PIVALATE FOUND? • Pregn-4-ene-3,20-dione, 21-((2,2-dimethyl-1-oxopropyl)thio)-11, 17-dihydroxy-, (11beta)- At work, you may find tixocortol-21-pivalate in or around: • Medicaments You also may react to products such as: • Creams, lotions, ointments and powders • Amcinonide • Budesonide At home, you may find tixocortol-21-pivalate in or around: • Cloprednol • Anti-inflammatory agents found in both prescription and nonprescription medications • Desonide • Creams, lotions, ointments and powders for eczema and other local • Fludrocortisone acetate inflammations • Fluocinolone acetonide • Ear, nose and eye drops • Fluocinonide • Rectal suspensions • Flurandrenolide • Halcinonide HOW CAN YOU AVOID TIXOCORTOL-21-PIVALATE? • Hydrocortisone • Check all topical anti-inflammatory preparations (prescription and over-the- • Hydrocortisone 17-butyrate counter) for tixocortol-21-pivalate and related cortiscosteroids. Do not use • Hydrocortisone acetate products that list these substances on the label or package insert. • Hydrocortisone butyrate If no information is available, ask your pharmacist. • Hydrocortisone probutate (hydrocortisone buteprate) • Inform your healthcare providers that you are allergic to tixocortol-21-pivalate and ask that they use products that are free from this allergen. • Hydrocortisone valerate • Avoid preparations that contain tixocortol-21-pivalate and cross-reacting • Methylprednisolone corticosteroids. • Micronized fluocinonide • Avoid nasal sprays that contain tixocortol-21-pivalate and related corticosteroids. • Prednicarbate • Prednisolone • Prednisolone acetate • Steroid: group b • Steroid: group d2 • Triamcinolone When purchasing products that may come in contact with your skin, check the list of ingredients for the above names. If in doubt, contact your pharmacist or physician.

*These lists are brief and provide just a few examples. Read product labels carefully and talk to your doctor if you have any questions. Product formulations may change from time to time without notice. Talk to your doctor for specific instructions. For additional information about products that might containtixocortol-21-pivalate or a related substance, go to the Household Products Database online (householdproducts.nlm.nih.gov) at the United States National Library of Medicine. Visit truetest.com for more information about contact allergies and patch testing 80650_1114 © 2014 SmartPractice. SmartPractice, the SmartPractice logo, TRUE TEST and the TRUE TEST logos are registered trademarks of SmartHealth, Inc.